The following program
presents principles designed
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to promote good health
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and is not
intended to take the place
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of personalized
professional care.
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The opinions and ideas expressed
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are those of the speaker.
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Viewers are encouraged to
draw their own conclusions
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about the information presented.
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Have you ever had
a pounding headache
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that just didn't go away?
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Headaches can be caused by a
number of different variables
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ranging from something
as simple as dehydration
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to serious conditions
such as intracranial bleeding
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or even cancer.
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If you were someone you love
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frequently deals with headaches,
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you are going to want to
stay and watch today's program.
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I'm Dr. James Marcum.
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Are you interested in
discovering the reason why?
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You want solutions to
your health care problem.
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Are you tired of
taking medications?
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Well, you are about to be
given the Ultimate Prescription.
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There are many different
ways that modern medicine offers
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to combat headaches
that many of us experience.
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But the headaches continue
to return time after time.
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You need to make sure
and get that checked out
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and see what's causing them.
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Today we turn to board
certified cardiologist,
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Dr. James Marcum to
learn the important points
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about recurring headaches.
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Dr. Marcum, welcome.
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We've been
covering the series on pain.
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And tell us why is pain
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such an
important thing to discuss.
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Yeah, pain is very important
because pain is a signal
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that something's
wrong with our health.
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Right.
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And if you have pain
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and you don't
know what it's from,
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you need to get it checked out.
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And I guess
that's the bottom-line.
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If you are having
pain, get it evaluated.
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See if you can
find out the reason why.
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Some pain can be very dangerous,
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even life threatening.
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Head pain is one of those.
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So you have to
have that evaluated,
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you have to know
what you are dealing with.
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We talked about chest pains.
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How dangerous that can
be if that's not evaluated.
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We talked about skin,
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which is not as
dangerous of a situation
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but still a
concerning situation.
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Right.
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Foot pain, usually
not too devastating,
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but it's important that
people understand about pain
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that something is not right.
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Pain that's lasting
more than six months
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or doesn't have an explanation,
we term that chronic pain.
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Not that
something is not causing it,
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something it just
can't be identified.
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There are lots
of people have pain
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or the body is so complicated,
the way our brain interacts
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that we don't know
what's causing the pain,
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but if we can always
find out the reason why,
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we're in a much better
a position to treat it.
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But headache is one of those
that can be life threatening.
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And so, you need to have
the headache pain, evaluated,
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especially if you
don't know what it's from.
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Now, I don't know...
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There's very few
people that I know
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that have never had
a headache, you know.
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Yeah, right.
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And, you know, some of the
more common causes of headaches
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are simple things like
not drinking enough water.
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That's probably the
number one cause of headache
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in the world right now.
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Another big cause of headache
nowadays is lack of sleep.
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Yeah. Yeah.
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And if you think,
when I think about a person
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that comes in and
evaluates a headache,
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the first thing
I want to know is,
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do I think the headache's
caused by chemical imbalances,
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okay?
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What do I mean by that?
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The nerves and the blood vessels
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being out of whack,
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muscles in the neck.
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If there are
chemical imbalances,
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we call that
primary headaches, okay?
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Now, if there
are bigger problems,
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we call that secondary
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and that's usually structural
problems in the brain.
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Those can be life threatening.
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For instance, some of
the structural problems
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that you might have in the brain
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if you had an aneurysm, okay?
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Or if you had a
intracerebral bleed,
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that could be life threatening
if not treated right away.
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I mean, we're
gonna talk a little bit
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about how you might know that
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that's type of your headache.
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So there's basically
two big types of headaches
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and a lot of it you can find out
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without even testing at all.
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You can just ask the
patient lots of questions.
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Some of the common
causes of primary headaches are,
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the most common is
tension headaches, okay?
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And tension
headache is when the muscles
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of the head get tight.
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You know, if the
muscles in your arm get tight,
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it can cause pain, okay?
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If it gets, you know,
we got a charley horse.
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Kind of a cramp in the leg.
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Yeah, you have
the charley horse,
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you don't worry
about that 'cause you know,
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it's the muscles in the legs.
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Right.
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Occasionally we have cramping
in the muscles of the chest
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and people should get worried
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'cause it could
feel like a heart attack.
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Well, the muscles of the
head can also get tight too.
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In this world, we
are under so much stress.
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We make the stress chemistries,
adrenaline, the cytokines.
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It can make muscles tight.
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I mean, you can have what
we call tension headaches.
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Typically, tension
headaches are usually headaches.
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If you talk to the
patients, they say,
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oh, it's behind their eyes
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or at the base
of their neck, okay?
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Those are characteristic
places for tension headaches,
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especially behind the eyes.
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So that's a type
of primary headache.
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Another type of primary
headache might occur like this.
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You have a
headache behind the eye,
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usually one eye that awakens you
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in the middle of night.
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And that can be termed
a cluster headache, okay?
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And that can be
very devastating.
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Sometimes there's
triggers for cluster headaches.
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Some triggers might
be alcohol, cigarettes,
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they might
trigger these headaches.
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It disrupts the vessels
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in the internal
functioning of the brain enough,
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so you have this severe pain.
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Another type of headache
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that almost everyone has
heard of is migraine headaches.
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Yeah, right.
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And that's still a...
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one of these
headaches that are, you know,
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they are not caused
by structural problem,
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they are more of the
chemistry of the brain.
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And a migraine headache,
usually they might have it
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or you might feel it
coming before it does.
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You might, you might have
some numbness in your tongue,
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in your fingers.
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Sometimes it has triggers too.
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Sometimes the
light can trigger it.
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Sometimes dehydration,
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certain foods with
nitrates can trigger it.
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Lack of sleep can
trigger these headaches
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and they are
very devastating too.
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Some of the treatments
of these types of headaches
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are medicinal to
relieve the pain.
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If we can, we want, of
course, get at the cause.
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Getting at the cause
is the key if possible,
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'cause they devastate...
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You remember, chronic pain
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turns on
chronic stress chemistry
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which damages
other parts of the body
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including the
higher parts of the brain
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which does our thinking.
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So that's one big
type of headaches, okay?
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When would a headache
be life threatening, okay?
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What are some things
I should worry about?
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Well, if the headache's
chronic every single day,
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never goes away,
that might be serious.
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You need to get to
see someone about that.
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The doctor that
specializes in headaches
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is called a neurologist.
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They specialize in headaches.
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If a headache
comes after a cough,
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that might be dangerous.
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If it's a worse
headache in your life,
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that might be dangerous.
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Headaches usually
have to have relationships.
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That can be a dangerous
signal for dangerous headaches.
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And all these headaches
need to be evaluated right away.
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And the way we sort of
tell if it's a serious headache
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is with a scan.
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We look at the structure,
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the structures of the
brain that they look okay,
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we can know it's
not a serious headache.
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And sometimes, a patient will
come into the emergency room
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and they have the
worst headache of their life.
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We'll do the
scan and first we say,
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"Oh, it's not dangerous."
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It must be one of these other
primary types of headaches,
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the tensions, the
clusters or the migraine.
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We can symptomatically
help that with medications,
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get you over the hump
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and then help you educate
on the cause of the brain
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to prevent it from
happening long term.
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But the structural problems,
we can't do a whole lot about.
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You know, a lot of us
are born with, you know,
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if you have an
aneurysm, that's a weak spot,
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the blood vessel if
it bleeds in the brain.
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Sometimes you can't
do too much about that
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other than control
the blood pressure before.
00:07:37.89\00:07:40.26
But for primary headaches,
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anything that
improves brain health
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will lower your risk of that.
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What would improve brain health?
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Drinking water, getting
rest and eating the right foods.
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Some of the chemicals,
you know, you've heard of MSG,
00:07:52.67\00:07:55.47
some of those chemicals can
adversely affect your brain.
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Low blood sugar can
give you a headache.
00:07:59.21\00:08:01.61
High blood sugar
can give you headache.
00:08:01.64\00:08:03.38
So anything that interferes
with the normal function
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of the brain can cause
the brain to malfunction
00:08:06.68\00:08:09.55
that could create the
nerves in the brain saying,
00:08:09.58\00:08:11.39
"Hey, things aren't right.
00:08:11.42\00:08:12.75
I'm going to cause a headache.
00:08:12.79\00:08:14.12
I'm going to get
Nick's attention."
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And then Nick
says, "I have a headache.
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I don't feel so good."
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And then he's
going to figure it out.
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You know, and if
it's not serious,
00:08:19.63\00:08:20.96
you know, you've
to make sure you,
00:08:21.00\00:08:22.33
you know, slept it
off, drank some water.
00:08:22.36\00:08:24.63
If it's something more serious,
you'll get help right away.
00:08:24.67\00:08:28.50
There's all sorts of
structural type of headaches too
00:08:28.54\00:08:31.07
that we need to sort of
talk a few minutes about.
00:08:31.11\00:08:33.48
Sinuses.
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Sinuses that get
infected or you have allergies,
00:08:35.01\00:08:38.51
those are
frequently cause of headaches.
00:08:38.55\00:08:41.02
Those type of
headaches are usually associated
00:08:41.05\00:08:43.08
when that hurts when
you press over the sinuses.
00:08:43.12\00:08:45.59
You might have a green drainage,
00:08:45.62\00:08:47.52
something like
that might be happening.
00:08:47.56\00:08:50.06
Of course, you
can have headaches
00:08:50.09\00:08:51.43
if you have a concussion.
00:08:51.46\00:08:53.09
If you bang your head, you know.
00:08:53.13\00:08:54.46
You are playing
football and have a lot of...
00:08:54.50\00:08:55.83
Mental trauma? Yes.
00:08:55.86\00:08:57.20
So if you are having headaches
after you bang your head,
00:08:57.23\00:08:59.27
that could be a
structural problem.
00:08:59.30\00:09:01.54
So that would need a
more thorough evaluation.
00:09:01.57\00:09:05.04
You know, you
heard of concussions.
00:09:05.07\00:09:06.74
And almost all the gentlemen
00:09:06.78\00:09:08.11
that have
concussions have headaches.
00:09:08.14\00:09:10.35
Some of them have bleeds,
some of them don't have bleeds
00:09:10.38\00:09:13.01
and it's just
chronic damage to the brain
00:09:13.05\00:09:14.92
but that would be
something we need to look into.
00:09:14.95\00:09:18.29
Sometimes if you have a headache
00:09:18.32\00:09:19.99
and a fever or a rash,
00:09:20.02\00:09:22.32
that could be a
sign of infection,
00:09:22.36\00:09:24.59
especially if
you had a stiff neck
00:09:24.63\00:09:27.60
and a rash and a fever,
00:09:27.63\00:09:29.10
that could be meningitis,
00:09:29.13\00:09:31.07
that could be
due to an infection.
00:09:31.10\00:09:32.80
That's a potentially
serious structural problem
00:09:32.83\00:09:36.00
in the brain.
00:09:36.04\00:09:37.64
There's lots of toxins
00:09:37.67\00:09:39.01
that can really hurt
the brain really quick.
00:09:39.04\00:09:41.44
We think of some of
the ones we mentioned,
00:09:41.48\00:09:43.14
MSG but carbon monoxide,
00:09:43.18\00:09:45.25
frequently that
can hurt the brain
00:09:45.28\00:09:46.72
cause you to
have these headaches.
00:09:46.75\00:09:49.08
Other types of headaches
that are more structurally
00:09:49.12\00:09:51.29
are visual problems.
00:09:51.32\00:09:53.09
You know, if you
have a bad vision,
00:09:53.12\00:09:55.12
if you can't see where
your vision is changing.
00:09:55.16\00:09:57.23
Something's damaged your vision.
00:09:57.26\00:09:58.59
Sometimes the left and
the right eye aren't right,
00:09:58.63\00:10:00.86
sometimes that put
stress on the system,
00:10:00.90\00:10:03.10
that can create
headache-type pains too.
00:10:03.13\00:10:05.37
If your eyes
are straining a lot,
00:10:05.40\00:10:06.84
that can cause it.
00:10:06.87\00:10:08.20
Looking at the
computer screen hour after hour,
00:10:08.24\00:10:11.07
watching television many hours.
00:10:11.11\00:10:13.11
You know, not giving your
eyes some rest like they should.
00:10:13.14\00:10:16.44
That can cause
chronic headaches as well.
00:10:16.48\00:10:20.08
Hangovers, you know,
00:10:20.12\00:10:21.85
a lot of people
drink alcohol nowadays.
00:10:21.88\00:10:24.55
They drink too much,
they develop hangovers.
00:10:24.59\00:10:27.16
That can cause problems.
00:10:27.19\00:10:28.79
A lot of people don't realize it
00:10:28.82\00:10:30.16
but certain medications
can also cause headaches.
00:10:30.19\00:10:33.86
The overuse of pain medications.
00:10:33.90\00:10:36.10
You wouldn't think
it can cause a headache
00:10:36.13\00:10:37.77
but the overuse
of pain medications
00:10:37.80\00:10:39.43
can actually cause headaches.
00:10:39.47\00:10:41.60
So when a person
comes in with a headache
00:10:41.64\00:10:43.81
and if you want to look at all
the different possible causes,
00:10:43.84\00:10:46.44
from the eyes to the sinuses,
00:10:46.47\00:10:48.24
to structural
problems to muscles,
00:10:48.28\00:10:50.31
to the ingestions they put in,
00:10:50.35\00:10:52.21
whether they
are sleeping enough,
00:10:52.25\00:10:53.82
whether they've
been having some trauma,
00:10:53.85\00:10:55.75
whether they are
drinking enough water.
00:10:55.78\00:10:57.22
So it's really a
very complex evaluation
00:10:57.25\00:11:00.26
but it needs to be
done 'cause it could,
00:11:00.29\00:11:01.79
you know, occasionally,
00:11:01.82\00:11:03.53
a person has a
bleed or a bad concussion
00:11:03.56\00:11:05.99
leading to a seizure,
00:11:06.03\00:11:07.36
those could all
be life threatening.
00:11:07.40\00:11:09.16
So let's talk a little bit more
about the chemical imbalance.
00:11:09.20\00:11:13.00
Are we talking about like
maybe not drinking enough water
00:11:13.03\00:11:15.10
and so there's not the
right chemicals in the brain,
00:11:15.14\00:11:18.24
or if you are drinking alcohol,
00:11:18.27\00:11:19.61
that's causing imbalance
of chemicals in the brain?
00:11:19.64\00:11:21.14
Yes, it does that.
00:11:21.18\00:11:22.51
And remember, 80 to 85 percent
of the brain is water, okay?
00:11:22.54\00:11:25.98
And usually when people
drink alcohol, you know,
00:11:26.01\00:11:28.25
it affects the way
the brain works, okay?
00:11:28.28\00:11:30.99
Not only does it water
00:11:31.02\00:11:32.35
but it affects actually
the way the brain works,
00:11:32.39\00:11:34.06
the brain doesn't
think as clear, okay?
00:11:34.09\00:11:36.09
But a lot of
drugs do that, okay?
00:11:36.12\00:11:38.66
Cocaine, methamphetamines, LSD,
00:11:38.69\00:11:41.90
which is a big one that
affect the way the brain works.
00:11:41.93\00:11:44.83
So any of those
could potentially
00:11:44.87\00:11:46.27
lead to brain problems.
00:11:46.30\00:11:47.74
We want to stay
away from all of those.
00:11:47.77\00:11:51.71
Some people, Nick, that
have high blood pressure.
00:11:51.74\00:11:54.11
If the blood
pressure's high all the time,
00:11:54.14\00:11:55.81
that can led to
chronic headache,
00:11:55.84\00:11:57.35
so you always want to
check their blood pressure.
00:11:57.38\00:12:00.35
You know, after some procedures
that people get done, you know,
00:12:00.38\00:12:03.49
have you ever
heard of a spinal tap?
00:12:03.52\00:12:05.52
You know, when they do those?
00:12:05.55\00:12:07.19
Some people after
that can have headaches.
00:12:07.22\00:12:09.22
You know, they call
it a spinal headache.
00:12:09.26\00:12:11.66
Some people, I've seen a
couple of this through years
00:12:11.69\00:12:13.73
that they wear goggles
when they either swim or bike,
00:12:13.76\00:12:17.37
the goggles are too tight.
00:12:17.40\00:12:18.73
It's from the
pressure. Yes, the pressure.
00:12:18.77\00:12:20.47
That can also cause that.
00:12:20.50\00:12:21.87
Dental problems can sometimes
cause pressure on the nerves
00:12:21.90\00:12:26.14
and that can also
cause chronic headaches.
00:12:26.17\00:12:28.71
Some people if they
change temperatures too quickly,
00:12:28.74\00:12:31.08
get out in the cold,
that can cause headaches.
00:12:31.11\00:12:34.18
So I guess what I'm
trying to say here is the key
00:12:34.22\00:12:37.05
to understanding headaches
is to talk to the patient,
00:12:37.09\00:12:40.12
understanding why it's happening
00:12:40.16\00:12:41.92
and also make sure
it's not a serious problem.
00:12:41.96\00:12:44.89
Now, a lot of headaches
now more than anything else
00:12:44.93\00:12:48.93
are caused by the
stress of this world.
00:12:48.96\00:12:51.27
This world is under more
stress than ever before, Nick.
00:12:51.30\00:12:55.50
And just by lowering stress
00:12:55.54\00:12:57.51
that takes
pressure off the muscle,
00:12:57.54\00:12:59.61
getting back to
the way God designed us
00:12:59.64\00:13:01.61
also helped a lot,
whether it be diet,
00:13:01.64\00:13:03.65
rest or doing the
things in our original design.
00:13:03.68\00:13:06.88
That always going to help us
00:13:06.92\00:13:08.25
to lower the risk
of having headaches.
00:13:08.28\00:13:10.25
Well, you know, you mentioned
a lot more sources of headaches
00:13:10.29\00:13:13.36
than I realized
that they were out there.
00:13:13.39\00:13:15.32
Yeah, there's a lot. All right.
00:13:15.36\00:13:17.23
Well, we're going to
be back in just a moment
00:13:17.26\00:13:18.59
after the break.
00:13:18.63\00:13:19.96
And if you have a question,
00:13:20.00\00:13:21.33
visit our website at
heartwiseministries.org
00:13:21.36\00:13:22.86
where you can ask your question
00:13:22.90\00:13:24.40
and we'll be
back in just a moment
00:13:24.43\00:13:26.10
with Dr. James Marcum to talk
about prevention and treatment
00:13:26.13\00:13:28.94
for headaches.
00:13:28.97\00:13:30.31